Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

JOSHUA D ADAMS

Allopathic & Osteopathic Physicians Surgery Vascular Surgery

NPI
1932313095
CMS profile
178952
Location
ROANOKE, VA

General Payments · PY2018–2024

$169,849.16

  • Reported across 309 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$5,135.42

22 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Consulting Fee $2,500.00 1
Food and Beverage $1,913.83 18
Travel and Lodging $721.59 3

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Bolton Medical Inc $2,963.95 5
Cook Medical LLC $1,086.48 6
W. L. Gore & Associates, Inc. $494.79 4
Silk Road Medical, Inc. $289.23 3
Inari Medical, Inc. $138.60 1
Artivion, Inc. $54.41 1
Medical Device Business Services, Inc. $54.19 1
Medtronic, Inc. $53.77 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $37,412.17 65
PY2019 $18,173.06 57
PY2020 $5,455.96 17
PY2021 $39,131.40 38
PY2022 $37,962.37 66
PY2023 $26,578.78 44
PY2024 $5,135.42 22

Payment records · PY2024 (22)

Sorted by paying entity, then date · as published by CMS

Program year 2024 201820192020202120222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Artivion, Inc. $54.41 11/19/2024 Food and Beverage Undisputed 01/23/2026 1145791254 CMS
Bolton Medical Inc $22.43 02/03/2024 Food and Beverage Undisputed 01/23/2026 1150736934 CMS
Bolton Medical Inc $2,500.00 03/01/2024 Consulting Fee Undisputed 01/23/2026 1150736938 CMS
Bolton Medical Inc $21.24 03/29/2024 Food and Beverage Undisputed 01/23/2026 1150736941 CMS
Bolton Medical Inc $221.28 08/28/2024 Food and Beverage Undisputed 01/23/2026 1150736946 CMS
Bolton Medical Inc $199.00 09/02/2024 Travel and Lodging Undisputed 01/23/2026 1150736950 CMS
Cook Medical LLC $139.92 01/11/2024 Food and Beverage Undisputed 01/23/2026 1118328010 CMS
Cook Medical LLC $89.84 01/11/2024 Food and Beverage Undisputed 01/23/2026 1118328012 CMS
Cook Medical LLC $517.46 01/11/2024 Travel and Lodging Undisputed 01/23/2026 1118328014 CMS
Cook Medical LLC $118.27 02/01/2024 Food and Beverage Undisputed 01/23/2026 1118337279 CMS
Cook Medical LLC $83.85 02/02/2024 Food and Beverage Undisputed 01/23/2026 1118344313 CMS
Cook Medical LLC $137.14 03/21/2024 Food and Beverage Undisputed 01/23/2026 1118327410 CMS
Inari Medical, Inc. $138.60 09/13/2024 Food and Beverage Undisputed 01/23/2026 1140055344 CMS
Medical Device Business Services, Inc. $54.19 09/30/2024 Food and Beverage Undisputed 01/23/2026 1077841812 CMS
Medtronic, Inc. $53.77 02/02/2024 Food and Beverage Undisputed 01/23/2026 1119553900 CMS
Silk Road Medical, Inc. $37.61 10/11/2024 Food and Beverage Undisputed 01/23/2026 1082256306 CMS
Silk Road Medical, Inc. $129.38 10/16/2024 Food and Beverage Undisputed 01/23/2026 1082256260 CMS
Silk Road Medical, Inc. $122.24 10/18/2024 Food and Beverage Undisputed 01/23/2026 1082256308 CMS
W. L. Gore & Associates, Inc. $249.01 02/23/2024 Food and Beverage Undisputed 01/23/2026 1148092282 CMS
W. L. Gore & Associates, Inc. $5.13 04/18/2024 Travel and Lodging Undisputed 01/23/2026 1148092286 CMS
W. L. Gore & Associates, Inc. $157.00 04/18/2024 Food and Beverage Undisputed 01/23/2026 1148092290 CMS
W. L. Gore & Associates, Inc. $83.65 11/19/2024 Food and Beverage Undisputed 01/23/2026 1148092495 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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